Which of the following differentiates community mental health ...

[tichca]

Which of the following differentiates community mental health from inpatient mental health care and is a primary goal of community mental health care?
 
  A) Emphasize crisis intervention and stabilize clients receiving psychotropic medications.
  B) Enlist citizen participation to determine need, policy changes, and evolution of mental health programs.
  C) Provide appropriate care for citizens of all ages in the least restrictive settings.
  D) Place chronically ill clients in comfortable family-like settings.

Question 2

Mr. Tan's latest diagnostic imaging tests reveal severe and untreatable heart disease, but his family is adamant that the care team refrain from revealing this finding to Mr. Tan.
 
  The nurse should recognize that which of the following factors may underlie the family's wishes?
 
  A) The family members may have an inadequate understanding of the severity of his condition.
  B) The family may be enacting their own form of anticipatory grief by keeping Mr. Tan uninformed.
  C) The family may prefer to avoid making difficult decisions about treatment options.
  D) The family may be protecting Mr. Tan or ensuring that he does not lose hope.

[chereeb]

Answer to Question 1

Ans: B
The primary goal of community mental health care is to place the center of care into the hands of community members and elicit citizen participation in mental health care.

Answer to Question 2

Ans: D
Culturally diverse families (eg, Asian Americans) may believe that explicitly telling the client bad news will cause unnecessary suffering or cause the client to lose hope. This is not likely a consequence of misunderstanding a diagnosis, grieving, or avoiding difficult decisions.